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comment by c_hawkthorne
c_hawkthorne  ·  339 days ago  ·  link  ·    ·  parent  ·  post: Pubski: December 20, 2023

That sucks I'm so sorry! Not sure of any bilingual and it's not Web Dev, but San Mateo Medical Center is moving over to Epic as their EMR and hiring contractors right now -- https://www.governmentjobs.com/careers/sanmateo/jobs/4259482/administrative-assistant-i-health-it-limited-term-open?page=1&pagetype=jobOpportunitiesJobs

Unfortunately I don't know IT stuff (I'm all public health) so not sure how well qualified you are with web development experience, but a job is a job. Good luck on your search!





am_Unition  ·  339 days ago  ·  link  ·  

Heh, I saw the other day where a non-kook doctor went through Epic to prescribe Ivermectin for a parasite infection, and was greeted with a laundry list of warnings against prescribing it for covid. Apparently Epic is both loathed and appreciated, like most regulatory systems. Sorry for the random anecdote, just Baader-Meinhof'ing around, here.

kleinbl00  ·  338 days ago  ·  link  ·  

We don't use Epic for our clinic (no way can we afford it), but about 70% of the hospitals around us do. As affiliated clinicians we have logins to, like, 10 hospitals. The reason Epic is everywhere is it's infinitely configurable and part of buying into it is buying the configuration you want and need and being supported in its continued operation. Epic is apparently a bitchin' place to work.

Those warnings were undoubtedly added by the doctor's administrator, or whoever is top-of-the-foodchain of their Epic install.

There's a real dividing line in healthcare right now: clinicians who are good at computer and clinicians who are not. the ones who are not are experiencing a real kick in the nuts in their patient care because they have to give over an embarrassing amount of time to just entering shit in. The ones who are fresh out of medical school have never known any different so they just rip. It's a shame, really, because there are a lot of great doctors out there with a lot of experience and they can give patients about half as much time as the new kids because they sit there struggling with the EHR. Epic is better than most, and a well-tuned system uses a lot of scripting and workflow shenanigans to get out of the clinician's way.

c_hawkthorne  ·  338 days ago  ·  link  ·  

They may be a bitchin' place to work but only if you live in Madison. They tried to recruit me but I have less than no interest in living in Madison, Wisconsin.

And yeah the infinitely configurable thing is real. I was only using two or three hospital's epic systems and it's sometimes a real mess to go between because they're in vastly different places.

c_hawkthorne  ·  339 days ago  ·  link  ·  

Lucky for me I've only ever had to use it for research and for that it was delightful but certainly parts were tedious and PowerChart, for what I needed, was better. Why are you using Epic these days?

am_Unition  ·  339 days ago  ·  link  ·  

Oh, I don't use it, I just enjoy catching wind of other industries' plights and triumphs :).